MEDICARE: TRACY LEE WELLMAN LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW16886	FL

General Provider Information

NPI Number	:	1942060017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACY LEE WELLMAN LCSW

Provider Business Mailing Address
First Line	:	228 FOUNTAIN LAKE BLVD
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-3833
Country	:	US
Telephone Number	:	407-748-9650
Fax Number	:

Provider Business Practice Location Address
First Line	:	1620 MASON AVE STE C
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-5513
Country	:	US
Telephone Number	:	386-366-6600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2024
Last Update Date	:	03/19/2024

Similar Medicare Providers

1033229380 — JOSEPH M KAMINSKI M.D.
Practice Location Address:

1620 MASON AVE STE E
DAYTONA BEACH, FL
32117-5513

Practice Phone: 386-506-5115
Practice Fax: 386-506-5112

1598955171 — MARGARITA RACSA M.D.
Practice Location Address:

1620 MASON AVE STE E
DAYTONA BEACH, FL
32117-5513

Practice Phone: 386-506-5115
Practice Fax: 386-506-5120

1003866930 — AIDS HEALTHCARE FOUNDATION
Practice Location Address:

100 NW 170TH ST , STE 208
NORTH MIAMI BEACH, FL
33169-5513

Practice Phone: 305-758-1984
Practice Fax: 305-758-8714

1447232657 — ALL WOMENS HEALTHCARE OF DADE INC
Practice Location Address:

100 NW 170TH ST , SUITE 207
NORTH MIAMI BEACH, FL
33169-5513

Practice Phone: 305-653-0550
Practice Fax: 305-653-0909

1033198106 — CRAIG D. WOODARD MD
Practice Location Address:

100 NW 170TH ST , #303
NORTH MIAMI BEACH, FL
33169-5513

Practice Phone: 305-653-0050
Practice Fax:

1104880533 — RAYMOND B SANDLER M.D.
Practice Location Address:

100 NW 170TH ST , SUITE 410
NORTH MIAMI BEACH, FL
33169-5513

Practice Phone: 305-654-6850
Practice Fax: 305-654-6858

Directions to “ TRACY LEE WELLMAN LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.